Aisha Abas Momoh, | |
801 Yale Ave Apt 409, Swarthmore, PA 19081-1821 | |
(570) 230-9520 | |
Not Available |
Full Name | Aisha Abas Momoh |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 801 Yale Ave Apt 409, Swarthmore, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235824343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | RN733479 (Pennsylvania) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP027429 (Pennsylvania) | Primary |
Entity Name | Childrens Service Center Of Wyoming Valley Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700861242 PECOS PAC ID: 1052567617 Enrollment ID: O20170609001473 |
Mailing Address | Practice Location Address |
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Aisha Abas Momoh, 453 Arena Hub Plz # 1148, Wilkes Barre, PA 18702-6839 Ph: () - | Aisha Abas Momoh, 801 Yale Ave Apt 409, Swarthmore, PA 19081-1821 Ph: (570) 230-9520 |
Mrs. Casey Leigh Anderson, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 College Ave, Swarthmore, PA 19081 Phone: 610-328-8058 | |
Ms. Alice Rachel Holland, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 College Ave, Swarthmore, PA 19081 Phone: 610-328-8061 Fax: 610-690-5724 | |
Cheryl Lynn Ditzel, CRNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 Fairview Rd, Suite 210, Swarthmore, PA 19081 Phone: 610-541-0155 | |
Lauren Bruno Godfrey, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 College Ave, Swarthmore, PA 19081 Phone: 610-328-8058 Fax: 610-690-5724 |